Individual
MACY DEERAE RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92-936 PALAILAI ST APT 84, KAPOLEI, HI 96707-1252
(217) 259-2547
Mailing address
92-936 PALAILAI ST APT 84, KAPOLEI, HI 96707-1252
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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